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Errors and Complications in Partial Extraction Therapy

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Partial Extraction Therapy in Implant Dentistry
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Abstract

Partial extraction therapies have gained popularity in the past few years. They aid in preserving hard and soft tissues by retaining a part of the buccal aspect of the root during implant placement. As with any procedure which is technique sensitive, one needs to exercise caution while performing these surgeries. Complications are to be expected during the course of such procedures. Most of the complications occur due to inappropriate case selection and few occur during the execution. This chapter deals with the prevention and management of such complications associated with PET procedures.

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References

  1. Araújo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol. 2005;32:212–8.

    Article  Google Scholar 

  2. Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent. 2003;23:313–23.

    PubMed  Google Scholar 

  3. Araujo M, Sukekava F, Wennstrom J, Lindhe J. Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog. J Clin Periodontol. 2006;32:645–65.

    Article  Google Scholar 

  4. Fickl S, Zuhr O, Wachtel H, Stappert C, Stein J, Hurzeler MB. Dimensional changes of the alveolar ridge contour after different socket preservation techniques. J Clin Periodontol. 2008;35:906–13.

    Article  Google Scholar 

  5. Chu SJ, Salama MA, Salama H, Garber DA, Saito H, Sarnachiaro GO, Tarnow DP. The dual-zone therapeutic concept of managing immediate implant placement and provisional restoration in anterior extraction sockets. Compend Contin Educ Dent. 2012;33(7):524–32, 534

    PubMed  Google Scholar 

  6. Hürzeler MB, Zuhr O, Schupbach P, Rebele SF, Emmanouilidis N, Fickl S. The socket-shield technique: a proof-of principle report. J Clin Periodontol. 2010;37:855–62.

    Article  Google Scholar 

  7. Bäumer D, Zuhr O, Rebele S, Schneider D, Schupbach P, Hürzeler M. The socket-shield technique: first histological, clinical, and volumetrical observations after separation of the buccal tooth segment—a pilot study. Clin Implant Dent Relat Res. 2015;17(1):71–82.

    Article  Google Scholar 

  8. Gluckman H, Du Toit J, Salama M. The Pontic-shield: partial extraction therapy for ridge preservation and Pontic site development. Int J Periodontics Restorative Dent. 2016;36(3):417–23.

    Article  Google Scholar 

  9. Gluckman H, Salama M, Du Toit J. Partial extraction therapies (PET) part 1: maintaining alveolar ridge contour at pontic and immediate implant sites. Int J Periodontics Restorative Dent. 2016;36(5):681–7.

    Article  Google Scholar 

  10. Gluckman H, Salama M, Du Toit J. Partial extraction therapies (PET) part 2: procedures and technical aspects. Int J Periodontics Restorative Dent. 2017;37(3):377–85.

    Article  Google Scholar 

  11. Gluckman H, Pontes CC, Du Toit J. Radial plane tooth position and bone wall dimensions in the anterior maxilla: a CBCT classification for immediate implant placement. J Prosthet Dent. 2018;120(1):50–6.

    Article  Google Scholar 

  12. Ash MM, Nelson SJ. The permanent canines: maxillary and mandibular. In: Wheeler’s dental anatomy, physiology, and occlusion. 8th ed. St. Louis, Mo: Elsevier; 2007. p. 191–214.

    Google Scholar 

  13. Gluckman H, Salama M, Du Toit J. A retrospective evaluation of 128 socket-shield cases in the esthetic zone and posterior sites: partial extraction therapy with up to 4 years follow-up. Clin Implant Dent Relat Res. 2018;20(2):122–9.

    Article  Google Scholar 

  14. Choukroun J, Diss A, Simonpieri A, Girard MO, Schoeffler C, Dohan SL, Dohan AJ, Mouhyi J, Dohan DM. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part IV: clinical effects on tissue healing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101(3):e56–60.

    Article  Google Scholar 

  15. Jin K. Utilization of autologous concentrated growth factors (CGF) enriched bone graft matrix (sticky bone) and CGF-enriched fibrin membrane in implant dentistry. J Implant Adv Clin Dent. 2015;7:11–29.

    Google Scholar 

  16. Dohan DM, Choukroun J, Diss A, Dohan SL, Dohan AJ, Mouhyi J, et al. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part II: platelet-related biologic features. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101(3):45–50.

    Article  Google Scholar 

  17. Choukroun J, Diss A, Simonpieri A, Girard MO, Schoeffler C, Dohan SL, Dohan AJ, Mouhyi J, Dohan DM. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part V: histologic evaluations of PRF effects on bone allograft maturation in sinus lift. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101(3):299–303.

    Article  Google Scholar 

  18. Mitsias ME, Siormpas KD, Kotsakis GA, Ganz SD, Mangano C, Iezzi G. The root membrane technique: human histologic evidence after five years of function. Biomed Res Int. 2017;2017:7269467.

    Article  Google Scholar 

  19. Zhao D, Wu Y, Xu C, Zhang F. Immediate dental implant placement into infected vs. non-infected sockets: a meta-analysis. Clin Oral Implants Res. 2016;27:1290–6.

    Article  Google Scholar 

  20. Kan JY, Roe P, Rungcharassaeng K, Patel RD, Waki T, et al. Classification of sagittal root position in relation to the anterior maxillary osseous housing for immediate implant placement: a cone beam computed tomography study. Int J Oral Maxillofac Implants. 2011;26:873–6.

    PubMed  Google Scholar 

  21. Grandi C, Pacifici L. The ratio in choosing access flap for surgical endodontics: a review. Oral Implantol (Rome). 2009;2(1):37–52.

    Google Scholar 

  22. Gluckman H, du Toit J, Salama M. Guided bone regeneration of a fenestration complication at immediate implant placement simultaneous to the socket-shield technique. Int Dent. 2015;5:58–66.

    Google Scholar 

  23. Mitsias ME, Siormpas KD, Prasad H, Garber D, Kotsakis GA. A step-by-step description of PDL-mediated ridge preservation for immediate implant rehabilitation in the esthetic region. Int J Periodontics Restorative Dent. 2015;35:835–41.

    Article  Google Scholar 

  24. Kumar PR, Kher U. Shield the socket: procedure, case report and classification. J Indian Soc Periodontol. 2018;22(3):266–72.

    Article  Google Scholar 

  25. Mitsias ME, Ganz SD, Tawil I. The root membrane concept: in the zone with the “triangle of bone”. Contin Educ. 2017;36(10):80.

    Google Scholar 

  26. Cherel F, Etienne D. Papilla preservation between two implants: a modified socket-shield technique to maintain the scalloped anatomy? A case report. Quintessence Int. 2014;45(1):23–30.

    Google Scholar 

  27. Kan JY, Rungcharassaeng K. Proximal socket shield for interimplant papilla preservation in the esthetic zone. Int J Periodontics Restorative Dent. 2013;33:e24–31.

    Article  Google Scholar 

  28. Gluckman H, Du Toit J, Salama M. The socket-shield technique to support buccofacial tissues at immediate implant placement: a case report and review of the literature. Int Dent Africa Ed. 2015;5:1–7.

    Google Scholar 

  29. Gutmann JL. Surgical endodontics: past, present, and future. Endod Top. 2014;30(1):29–43.

    Article  Google Scholar 

  30. Vignoletti F, Matesanz P, Rodrigo D, et al. Surgical protocols for ridge preservation after tooth extraction: a systematic review. Clin Oral Implants Res. 2012;23:22–38.

    Article  Google Scholar 

  31. Gluckman H, Nagy K, Du Toit J. Prosthetic management of implants placed with the socket-shield technique. J Prosthet Dent. 2019;121(4):581–5.

    Article  Google Scholar 

  32. Schwimer C, Pette GA, Gluckman H, Salama M, Du Toit J. Human histologic evidence of new bone formation and osseointegration between root dentin (unplanned socket-shield) and dental implant: case report. Int J Oral Maxillofac Implants. 2018;33:e19–23.

    Article  Google Scholar 

  33. Mitsias ME, Siormpas KD, Kotsakis GA, Ganz SD, Mangano C, Iezzi G. The RootMembrane technique: human histologic evidence after five years of function. Biomed Res Int. 2017;2017:7269467.

    Article  Google Scholar 

  34. Ruales-Carrera E, Pauletto P, Apaza-Bedoya K, Volpato CAM, Özcan M, Benfatti CAM. Peri-implant tissue management after immediate implant placement using a customized healing abutment. J Esthet Restor Dent. 2019:1–9.

    Google Scholar 

  35. Glocker M, Attin T, Schmidlin P. Ridge preservation with modified “socket-shield” technique: a methodological case series. Dent J. 2014;2(1):11–21.

    Article  Google Scholar 

  36. Gharpure AS, Bhatavadekar NB. Current evidence on the socket-shield technique: a systematic review. J Oral Implantol. 2017;43:395–403.

    Article  Google Scholar 

  37. Han CH, Park KB, Mangano FG. The modified socket shield technique. J Craniofac Surg. 2018;29(8):2247–54.

    PubMed  Google Scholar 

  38. Peck MT, Marnewick J, Stephan LX, Singh A, Patel N, Majeed A. The use of leucocyte- and platelet-rich fibrin (L-PRF) to facilitate implant placement in bone-deficient sites: a report of two cases. SADJ. 2012;67(2):54–49.

    PubMed  Google Scholar 

  39. Lee JW, Kim SG, Kim JY, Lee YC, Choi JY, Draqos R, et al. Restoration of a peri-implant defect by platelet-rich fibrin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2012;113(4):459–63.

    Article  Google Scholar 

  40. Langer L, Langer B, Salem D. Unintentional root fragment retention in proximity to dental implants: a series of six human case reports. Int J Periodontics Restorative Dent. 2015;35(3):305–13.

    Article  Google Scholar 

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Acknowledgment

Illustrations by: Udatta Kher.*Case Courtesy: Dr Ali Tunkiwala; Connective Tissue Graft by Dr Bhakti Tunkiwala

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Kulkarni, S., Kumar, T., Narayan, T.V., Tunkiwala, A. (2020). Errors and Complications in Partial Extraction Therapy. In: Kher, U., Tunkiwala, A. (eds) Partial Extraction Therapy in Implant Dentistry . Springer, Cham. https://doi.org/10.1007/978-3-030-33610-3_10

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  • DOI: https://doi.org/10.1007/978-3-030-33610-3_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-33609-7

  • Online ISBN: 978-3-030-33610-3

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